Organization
MARINDALE MEDICAL THERAPY UNIT
Active
Other names
California Children's Services
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ADUNA P.T. (CHIEF THERAPIST)
(415) 473-6893
Entity
Organization
Contact information
Practice address
850 DEL GANADO RD, SAN RAFAEL, CA 94903-2310
(415) 479-2203
(415) 446-4476
Mailing address
3240 KERNER BLVD, SAN RAFAEL, CA 94901
(415) 473-6893
(415) 473-6396
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00037F
—
CA
Enumeration date
11/07/2006
Last updated
05/27/2023
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